Trident Medical Group Pa is a 
Internal Medicine based in Columbia, Maryland. Trident Medical Group Pa is licensed to practice in * (Not Available) (license number ) and their current practice location is 
10440 Little Patuxent Pkwy Ste 300, Columbia, Maryland. It can be reached at their office (for appointments etc.) via phone at 
(855) 770-7771.
NPI number for Trident Medical Group Pa is 1083368831 and their current mailing address is 382 Ne 191st St, Miami, Florida. Trident Medical Group Pa 
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1083368831.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Trident Medical Group Pa | 
|---|
| Type | Facility | 
|---|
| Speciality | Internal Medicine | 
|---|
| Location | 10440 Little Patuxent Pkwy Ste 300, Columbia, Maryland | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1083368831
- Provider Enumeration Date: 02/10/2022
- Last Update Date: 11/14/2022
 
		 
		 
Medical Identifiers
		Medical identifiers for Trident Medical Group Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1083368831 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 213EP0504X | Podiatrist - Public Medicine | (* (Not Available)) | Secondary | 
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Trident Medical Group Pa is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Trident Medical Group Pa 382 Ne 191st St,
 Miami, FL 33179-3899
 Ph: (310) 626-0149
 | Trident Medical Group Pa 10440 Little Patuxent Pkwy Ste 300,
 Columbia, MD 21044-3648
 Ph: (855) 770-7771
 | 
		
		 
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